Article
Causes of Seromucotympanon in Newborn children
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Authors
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Wilma Vorwerk
- ENT-Department, University of Magdeburg, Magdeburg, Germany
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Dorothea Rostalski
- ENT-Department, University of Magdeburg, Magdeburg, Germany
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Ulrich Vorwerk
- ENT-Department, University of Magdeburg, Magdeburg, Germany
| Published: | July 22, 2009 |
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Outline
Text
Introduction: The introduction of Hearing screening in newborn children give the opportunity to early diagnostic and therapy of permanent hearing disease. Furthermore we get new experience about middle ear diseases in children especially in seromucotympanon. Repeated conductive deafness causes speech and language disorders or problems at school. That’s why also conductive deafness should diagnose as early as possible.
Materials and methods: From January 2007 to November 2008 were 290 newborn children examinated. The age was up one week to 7 month. In all children we made a medical history especially for hearing impairment, a medical examination and an examination of hearing with TEOAE. In negative results followed a tympanogram and the BERA.
Results: In 70 children we diagnose a hearing impairment. 50 children have a seromucotympanon (SMT). 20 Newborn showed a permanent sensorineural deafness.
After conservative therapy of SMT 26 of 50 children have normal hearing, 9 children don’t come to second examination. In 15 children we diagnose a permanent SMT. 5 children have additional diseases like Trisomie 21, frontonasal dysplasia and other abnormalities in orofascial system.
Children under the age of 12 month get only a grommet. Older children get grommets and a Adenotomie. 2 children have got the second grommet because of repeated air bone gap after replacement of the first grommets.
Conclusion: The results of this study show that children with postpartal tubal occlusion have often repeated conductive deafness.
The causes are different. IN addition to adenoids the velopharyngeal incompetence (VPI) plays an important role. A spontaneous cure rate was not to watch. So a regular control of this children is very important.
